| NPI | 1194276824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004093) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114406) |
| 235Z00000X Speech-Language Pathologist, (Licence: UT 9774723-4102) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2021-06-10 |